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Hawaii rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,594.00 / $3,594.00 / $3,594.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,047.38 / $22,047.38 / $22,047.38
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,019.00 / $15,212.00 / $17,714.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00